ReviewPloS one2013
The impact of telehealthcare on the quality and safety of care: a systematic overview.
Review in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 83 papers, 14 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Evaluation the Effectiveness of a Telemonitoring Program in a Cohort of COPD Patient With Frequent Readmissions
Virtual Visits at Brigham and Women's Hospital: A Randomized Controlled Trial
Who cites it
83 citing papers in PubMed, 14 syntheses or guidelines pooled it.
- Mobile Health Self-management Support for Spinal Cord Injury: Systematic Literature Review.JMIR mHealth and uHealth · 2023Pooled it
- Digital Health Care, Telemedicine, and Medicolegal Issues in Orthopedics: A Review.International journal of environmental research and public health · 2022Pooled it
- Telemedicine application in patients with chronic disease: a systematic review and meta-analysis.BMC medical informatics and decision making · 2022Pooled it
- The Effect of Telehealth on Hospital Services Use: Systematic Review and Meta-analysis.Journal of medical Internet research · 2021Pooled it
- Impact of Remote Consultations on Antibiotic Prescribing in Primary Health Care: Systematic Review.Journal of medical Internet research · 2020Pooled it
- Beyond forest plots: clinical gestalt and its influence on COPD telemonitoring studies and outcomes review.BMJ open · 2019Pooled it
- Do telehealth interventions improve oral anticoagulation management? A systematic review and meta-analysis.Journal of thrombosis and thrombolysis · 2018Pooled it
- The quality, safety and governance of telephone triage and advice services - an overview of evidence from systematic reviews.BMC health services research · 2017Pooled it
- Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer.Journal of medical Internet research · 2017Pooled it
- Home telemonitoring and remote feedback between clinic visits for asthma.The Cochrane database of systematic reviews · 2016Pooled it
- Remote versus face-to-face check-ups for asthma.The Cochrane database of systematic reviews · 2016Pooled it
- Effect of Telehealth Interventions on Hospitalization Indicators: A Systematic Review.Perspectives in health information managemen · 2016Pooled it
- Effects of home telemonitoring interventions on patients with chronic heart failure: an overview of systematic reviews.Journal of medical Internet research · 2015Pooled it
- Impact of Complex Quality-Interventions on Patient Outcome: A Systematic Overview of Systematic Reviews.Inquiry : a journal of medical care organization, provision and financingPooled it
- Using Robots at Home to Support Patients With Chronic Obstructive Pulmonary Disease: Pilot Randomized Controlled Trial.Journal of medical Internet research · 2018Trial
- Trial
- An Approach to Assess Generalizability in Comparative Effectiveness Research: A Case Study of the Whole Systems Demonstrator Cluster Randomized Trial Comparing Telehealth with Usual Care for Patients with Chronic Health Conditions.Medical decision making : an international journal of the Society for Medical Decision Making · 2015Trial
- Trial
- Effect of telehealth on glycaemic control: analysis of patients with type 2 diabetes in the Whole Systems Demonstrator cluster randomised trial.BMC health services research · 2014Trial
- Telehealth Use and Satisfaction in Primary and Mental Health Care Across 9 High-Income Countries.Mayo Clinic proceedings. Digital health · 2026Article
23 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTelehealthcare involves the use of information and communication technologies to deliver healthcare at a distance and to support patient self-management through remote monitoring and personalised feedback. It is timely to scrutinise the evidence regarding the benefits, risks and costs of telehealthcare. METHODS AND
findingsTwo reviewers searched for relevant systematic reviews published from January 1997 to November 2011 in: The Cochrane Library, MEDLINE, EMBASE, LILACS, IndMed and PakMed. Reviewers undertook independent quality assessment of studies using the Critical Appraisal Skills Programme (CASP) tool for systematic reviews. 1,782 review articles were identified, from which 80 systematic reviews were selected for inclusion. These covered a range of telehealthcare models involving both synchronous (live) and asynchronous (store-and-forward) interactions between provider and patients. Many studies showed no differences in outcomes between telehealthcare and usual care. Several reviews highlighted the large number of short-term (<12 months) feasibility studies with under 20 participants. Effects of telehealthcare on health service indicators were reported in several reviews, particularly reduced hospitalisations. The reported clinical effectiveness of telehealthcare interventions for patients with long-term conditions appeared to be greatest in those with more severe disease at high-risk of hospitalisation and death. The failure of many studies to adequately describe the intervention makes it difficult to disentangle the contributions of technological and human/organisational factors on the outcomes reported. Evidence on the cost-effectiveness of telehealthcare remains sparse. Patient safety considerations were absent from the evaluative telehealthcare literature.
conclusionsPolicymakers and planners need to be aware that investment in telehealthcare will not inevitably yield clinical or economic benefits. It is likely that the greatest gains will be achieved for patients at highest risk of serious outcomes. There is a need for longer-term studies in order to determine whether the benefits demonstrated in time limited trials are sustained.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.